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Psychological processes and stimulant use among men who have sex with men

Carrico, AW and Pollack, LM and Stall, RD and Shade, SB and Neilands, TB and Rice, TM and Woods, WJ and Moskowitz, JT (2012) Psychological processes and stimulant use among men who have sex with men. Drug and Alcohol Dependence, 123 (1-3). 79 - 83. ISSN 0376-8716

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Abstract

Background: Prior research established that psychological factors are associated with the frequency of stimulant (i.e., cocaine, crack, and methamphetamine) use among substance-using men who have sex with men (MSM). The present investigation examined whether and how psychological factors are associated with engagement in any stimulant use in the broader population of MSM. Methods: A probability sample of 879 MSM residing in San Francisco was obtained using random digit dialing from May of 2002 through January of 2003. Of these, 711 participants (81%) completed a mail-in questionnaire that assessed psychological factors and substance use. After accounting for demographic factors, a multiple logistic regression analysis examined correlates of any self-reported stimulant use during the past 6 months. Path analyses examined if the use of alcohol or other substances to avoid negative mood states (i.e., substance use coping) mediated the associations of sexual compulsivity and depressed mood with stimulant use. Results: Younger age (adjusted OR [AOR]=0.58; 95% CI=0.47-0.70), HIV-positive serostatus (AOR=2.55; 95% CI=1.61-4.04), greater depressed mood (AOR=1.26; 95% CI=1.05-1.52) and higher sexual compulsivity (AOR=1.46; 95% CI=1.18-1.80) were independently associated with increased odds of stimulant use. Substance use coping partially mediated the associations of sexual compulsivity (βindirect=0.11, p<.001) and depressed mood (βindirect=0.13, p<.001) with stimulant use. Conclusions: Clinical research is needed to examine if interventions targeting sexual compulsivity and emotion regulation reduce stimulant use among MSM. © 2011 Elsevier Ireland Ltd.


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Details

Item Type: Article
Status: Published
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Carrico, AW
Pollack, LM
Stall, RDrstall@pitt.eduRSTALL
Shade, SB
Neilands, TB
Rice, TM
Woods, WJ
Moskowitz, JT
Centers: Other Centers, Institutes, or Units > Center for LGBT Health Research
Date: 1 June 2012
Date Type: Publication
Journal or Publication Title: Drug and Alcohol Dependence
Volume: 123
Number: 1-3
Page Range: 79 - 83
DOI or Unique Handle: 10.1016/j.drugalcdep.2011.10.020
Schools and Programs: Graduate School of Public Health > Behavioral and Community Health Sciences
Refereed: Yes
ISSN: 0376-8716
Date Deposited: 12 Jun 2013 20:58
Last Modified: 02 Feb 2019 15:55
URI: http://d-scholarship.pitt.edu/id/eprint/18854

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